Serum 25-hydroxyvitamin D in relation to disability in activities of daily living, mobility, and objective physical functioning among Chinese older adults

Selected activities of daily living were used to measure improvement in independence of long-stay elderly patients known to have low concentrations of plasma 25-hydroxyvitamin D. This was a double-blind random controlled trial lasting between 8 and 40 weeks. No significant changes were found in either group.

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Impact of Falls on the Balance, Gait, and Activities of Daily Living Functioning in Community-Dwelling Chinese Older Adults

The Journals of Gerontology Series A ◽

10.1093/gerona/61.4.399 ◽

2006 ◽

Vol 61 (4) ◽

pp. 399-404 ◽

Cited By ~ 40

Author(s):

Leung-Wing Chu ◽

Alice Y. Y. Chiu ◽

Iris Chi

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Daily Living ◽

Community Dwelling ◽

Chinese Older Adults

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Rural-Urban Inequalities in Poor Self-Rated Health, Self-reported Functional Disabilities and Depression Among Chinese Older Adults: Evidence From the China Health and Retirement Longitudinal Study 2011 and 2015

10.21203/rs.3.rs-102597/v1 ◽

2020 ◽

Author(s):

Haiting Jiang ◽

Bo Burström ◽

Jiaying Chen ◽

Kristina Burström

Keyword(s):

Older Adults ◽

Longitudinal Study ◽

Activities Of Daily Living ◽

Educational Level ◽

Daily Living ◽

Household Registration ◽

Registration System ◽

Chinese Older Adults ◽

Self Rated Health ◽

Functional Disabilities

Abstract BackgroundRural-urban inequalities in health among older adults in China have not been extensively studied from the national perspective. In particular, studies have not taken into account combinations of Hukou (household registration system in China) and actual residence, which may be important so as not to underestimate rural-urban differences. This study investigates rural-urban inequalities in prevalence of poor self-rated health, self-reported functional disabilities and depression among Chinese older adults in 2011 and 2015, and analyses sociodemographic determinants of rural-urban inequalities in self-reported health outcomes. MethodsData from the nationwide China Health and Retirement Longitudinal Study (CHARLS), on older adults aged 60 years and above in CHARLS 2011 and CHARLS 2015 were used. Only rural residents with rural Hukou and urban residents with urban Hukou were included. Sociodemographic factors, including age, sex, marital status, living arrangement, living near children, educational level and income were studied. Self-Rated Health (SRH) was assessed with a single question. Basic Activities of Daily Living (BADLs) and Instrumental Activities of Daily Living (IADLs) were used to measure self-reported functional abilities. The 10-item version of the Center for Epidemiologic Studies Depression Scale was used to measure self-reported depression. ResultsRural respondents had poorer socioeconomic status and higher prevalence of poor SRH, functional disabilities and depression than urban respondents. The levels of functional disabilities, both BADLs and IADLs, were similar in 2011 and 2015, while the prevalence of poor SRH and self-reported depression was lower in 2015, both among rural and urban respondents. Impairments increased with age and appeared at younger age among rural respondents compared to urban respondents. Being female, unmarried, with low educational level and low income increased the odds ratios of reporting poor SRH, functional disabilities and depression. Sensitivity analyses using only Hukou registration resulted in underestimation of rural-urban differences. ConclusionsThere were large rural-urban inequalities in poor SRH, self-reported functional disabilities and depression that were closely related to rural-urban differences in educational level and income. Key words : China; depression; functional ability; health inequalities; household registration system; older adults; rural-urban; self-rated health; social determinants of health

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Trends in Disability in Activities of Daily Living Among Chinese Older Adults, 1997–2006: The China Health and Nutrition Survey

The Journals of Gerontology Series A ◽

10.1093/gerona/glu204 ◽

2014 ◽

Vol 70 (6) ◽

pp. 739-745 ◽

Cited By ~ 23

Author(s):

Yajun Liang ◽

Aiqin Song ◽

Shufa Du ◽

Jack M. Guralnik ◽

Chengxuan Qiu

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Daily Living ◽

Nutrition Survey ◽

Chinese Older Adults ◽

Health And Nutrition

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Association of Serum 25-Hydroxyvitamin D Deficiency with Risk of Incidence of Disability in Basic Activities of Daily Living in Adults >50 Years of Age

Journal of Nutrition ◽

10.1093/jn/nxaa258 ◽

2020 ◽

Vol 150 (11) ◽

pp. 2977-2984

Author(s):

Mariane M Luiz ◽

Roberta Máximo ◽

Dayane C Oliveira ◽

Paula C Ramírez ◽

Aline F de Souza ◽

...

Keyword(s):

Vitamin D ◽

Risk Factor ◽

Activities Of Daily Living ◽

Vitamin D Deficiency ◽

Daily Living ◽

Clinical Characteristics ◽

Hydroxyvitamin D ◽

Increased Risk ◽

25 Hydroxyvitamin D

ABSTRACT Background Vitamin D deficiency compromises muscle function and is related to the etiology of several clinical conditions that can contribute to the development of disability. However, there are few epidemiological studies investigating the association between vitamin D deficiency and the incidence of disability. Objectives We aimed to assess whether vitamin D deficiency is associated with the incidence of disability in basic activities of daily living (BADL) and to verify whether there are sex differences in this association. Methods A 4-y follow-up study was conducted involving individuals aged 50 y or older who participated in ELSA (English Longitudinal Study of Ageing). The sample consisted of 4814 participants free of disability at baseline according to the modified Katz Index. Vitamin D was assessed by serum 25-hydroxyvitamin D [25(OH)D] concentrations and the participants were classified as sufficient (>50 nmol/L), insufficient (>30 to ≤50 nmol/L), or deficient (≤30 nmol/L). Sociodemographic, behavioral, and clinical characteristics were also investigated. BADL were re-evaluated after 2 and 4 y of follow-up. The report of any difficulty to perform ≥1 BADL was considered as an incident case of disability. Poisson models stratified by sex and controlled for sociodemographic, behavioral, and clinical characteristics were carried out. Results After 4-y follow-up, deficient serum 25(OH)D was a risk factor for the incidence of BADL disability in both women (IRR: 1.53; 95% CI: 1.16, 2.03) and men (IRR: 1.44; 95% CI: 1.02, 2.02). However, insufficient serum 25(OH)D was not a risk factor for the incidence of BADL disability in either men or women. Conclusions Independently of sex, deficient serum 25(OH)D concentrations were associated with increased risk of incidence of BADL disability in adults >50 y old and should be an additional target of clinical strategies to prevent disability in these populations.

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Physical Functioning, Depressive Symptoms, and Suicidal Ideation among Older Korean Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168781 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8781

Author(s):

Hyung-Seop Sim ◽

Sang-Gyu Lee ◽

Tae-Hyun Kim

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Activities Of Daily Living ◽

Physical Functioning ◽

Daily Living ◽

Binary Logistic Regression ◽

Data Set ◽

Korean Adults ◽

Chi Squared

Previous studies have shown that the physical functioning of older adults directly affects their depressive symptoms, and suicide is also closely associated with depression. This study determined the effects of physical functioning on depressive symptoms and suicidal ideation among older Korean adults. This study used data from the 2017 National Survey of Older Persons. Among the 10,299 participants in the entire data set, 10,083 participants were analyzed, excluding 216 participants who did not respond to the dependent variables. Data analyses included frequency, chi-squared tests, and binary logistic regression. The results indicated that physical functioning among older adults was associated with reduced depressive symptoms and suicidal ideation. Compared to the group that had non-limited activities of daily living (ADL) function, the group with limitations was 1.66 times more likely to show depressive symptoms (OR: 1.66, 95% CI: 1.36–2.02). Similar trends were observed in instrumental activities of daily living (IADL) (OR: 1.85, 95% CI: 1.58–2.16). When suicidal ideation was set as a dependent variable, IADL had a statistically significant impact (OR: 1.41, 95% CI: 1.14–1.74); however, ADL did not seem to have an impact. Moreover, both ADL (OR: 1.62, 95% CI: 1.35–1.94) and IADL (OR: 1.72, 95% CI: 1.49–1.97) had statistically significant effects when combined with depressive symptoms and suicidal ideation. Better physical functioning was associated with a reduction in depressive symptoms and suicidal ideation. This study emphasizes the importance of physical functioning when examining older adults’ mental health.

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